Mrs MRI of Joliet, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

MRS MRI OF JOLIET, LLC

Practice address

903 129TH Infantry Dr
Suite 200
Joliet, IL 60435-3171

Phone

(815) 741-0160

NPI assigned

Aug 26, 2008

Last updated

Aug 26, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brent E. Mellecker

Title

Managing Partner

Phone

(630) 815-4818

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1871740357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 129TH INFANTRY DR",
            "address_2": "SUITE 200",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353171",
            "telephone_number": "815-741-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 129TH INFANTRY DR",
            "address_2": "SUITE 200",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353171",
            "telephone_number": "815-741-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRS MRI OF JOLIET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "MELLECKER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "630-815-4818",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morris Esformes & Melvin Segal Etal
• Morris Hospital (Morris Hospital & Healthcare Centers)
• Kelly Morris, FNP
• Lataylor Mosley
• Dale Anthony Mraz, DC
• Eunice W Mudryj, CRNA
• Mukund Komanduri MD SC (MK Orthopaedics, Surgery & Rehabilitation)
• Kimberly Ann Mulligan, PA-C
• Jacob Multack, MA, LPC
• Melissa L Munday, LCPC CADC

• Magnetic Resonance Imaging (MRI) Clinic/Center in Joliet, IL
• Providers in Joliet, IL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.